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This document was developed by the American College of Cardiology Foundation (ACCF) and the Heart Rhythm Society (HRS) along with key specialty societies. The document provides assessed levels of appropriateness for implanting ICDs and CRTs in 369 real-life case scenarios, with the goal of enhancing physician and patient decision making and improving care and health outcomes. Six areas are covered within the document: ICDs for primary prevention, ICDs for secondary prevention, comorbidities, CRT devices, generator replacements with pre-existing cardiovascular implantable electronic devices, and dual- vs. single-chamber ICDs.